ArticleArchives of orthopaedic and trauma surgery2025
Efficacy of arthroscopic assisted lower trapezius tendon transfer versus reverse shoulder arthroplasty in patients with posterosuperior irreparable rotator cuff tear without arthritis: retrospective propensity score matching study.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Concomitant acromioplasty is associated with enhanced structural healing, long-term durability, and functional outcomes in arthroscopic rotator cuff repair: a retrospective propensity score and causal machine-learning analysis.Frontiers in bioengineering and biotechnology · 2026Article
- Modified Lower Trapezius Tendon Transfer Using an Achilles Tendon-Bone Allograft With Acellular Dermal Matrix Augmentation for Irreparable Posterior-Superior Rotator Cuff Tears.Arthroscopy techniques · 2025Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionShoulder dysfunction, including loss of active forward elevation (FE) and external rotation (ER), is challenging in posterosuperior irreparable rotator cuff tears (PSIRCTs). We compared the clinical outcomes of reverse shoulder arthroplasty (RSA) and arthroscopy-assisted lower trapezius tendon transfer (aLTT) in PSIRCTs patients without arthritis. MATERIAL AND
methodsApproximately 29 patients were included in each group (RSA group and aLTT group), using retrospective propensity score matching based on demographic variables with a minimum 2-year follow-up period. Clinical results were compared with the visual analogue scale score, Constant shoulder score, American Shoulder and Elbow Surgeons score, University of California Los Angeles shoulder score, and activities of daily living requiring active external rotation (ADLER) score, active range of motion and rotational strength between the two groups. Subsequently, the arthritic change of shoulder joint was evaluated using the acromiohumeral distance (AHD) and Hamada grade.
resultsThe clinical outcomes were significantly improved in both groups. However, ADLER score (20.6 ± 4.0 vs. 27.3 ± 3.7, p < .001), ER at 0° of abduction (34.2 ± 13.2 vs. 47.5 ± 11.1, p < .001), ER at 90° of abduction (49.6 ± 15.4 vs. 66.5 ± 19.5, p < .001) and ER strength (16.4 ± 4.0 vs. 24.1 ± 9.1, p < .001) of aLTT group were significantly better than that of RSA group. No significant increase of AHD and no significant progression of arthritis change were observed in aLTT group.
conclusionsAlthough both RSA and aLLT improved overall patient outcomes postoperatively, aLTT was superior in clinical scores, notably the ADLER score, active ER, and ER strength in PSIRCTs patients without arthritis. These findings suggest that aLTT could be a first-line joint-preserving treatment option for PSIRCTs patients without arthritis, given the longevity and related complications associated with arthroplasty. LEVEL OF EVIDENCE: III.
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